Provider Demographics
NPI:1770679342
Name:SACHS, RAHNANA (MD)
Entity Type:Individual
Prefix:
First Name:RAHNANA
Middle Name:
Last Name:SACHS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8733 BEVERLY BLVD
Mailing Address - Street 2:STE 410
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1827
Mailing Address - Country:US
Mailing Address - Phone:310-652-4800
Mailing Address - Fax:310-652-4860
Practice Address - Street 1:8733 BEVERLY BLVD
Practice Address - Street 2:STE 410
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-1827
Practice Address - Country:US
Practice Address - Phone:310-652-4800
Practice Address - Fax:310-652-4800
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG76930207R00000X
CAG076930207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F79929Medicare UPIN
CAF79929Medicare UPIN